上海市975例肺结核患者治疗完成后3年内生命质量评价  

Evaluation of quality of life in 975 patients with pulmonary tuberculosis within 3 years after treatment in Shanghai

作　　者：吴倩 江佳艳 张懿行 路丽苹[3] 唐丽红 赵琦[1] 蒋伟利[1] 徐飚[1] WU Qian;JIANG Jiayan;ZHANG Yixing;LU Liping;TANG Lihong;ZHAO Qi;JIANG Weili;XU Biao(School of Public Health,Fudan University,Shanghai 200032,China;Department of Tuberculosis Control,Pudong New Area Center for Disease Control and Prevention,Shanghai 200136,China;Department of Tuberculosis Control,Songjiang District Center for Disease Control and Prevention,Shanghai 201620,China;Department of Tuberculosis Control,Minhang District Center for Disease Control and Prevention,Shanghai 201101,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]上海市浦东新区疾病预防控制中心结核病防治科,上海200136 [3]上海市松江区疾病预防控制中心结核病防治科,上海201620 [4]上海市闵行区疾病预防控制中心结核病防治科,上海201101

出　　处：《上海预防医学》2022年第2期163-167,共5页Shanghai Journal of Preventive Medicine

基　　金：国家科技重大专项(2018ZX10715012)。

摘　　要：【目的】了解治疗结束后3年内肺结核患者的生命质量,分析其相关因素,为改善治疗结束后近期肺结核患者的生命质量提出建议。【方法】采用电话调查的方法,使用健康调查量表12(SF-12)和慢性阻塞性肺疾病评估测试(CAT)问卷,调查2018年上海市部分登记在册的肺结核患者。【结果】共纳入完成治疗肺结核患者975例,SF-12心理总分为(50.27±8.03),高于生理总分(49.18±10.25)分,差异有统计学意义(t=5.62,P<0.000 1),CAT量表得分为(13.31±6.08)分。多因素线性回归分析显示,教育水平、家庭人均月收入和每周体育锻炼频率越高越有助于提高肺结核患者的生命质量;共患其他疾病类型、目前生活自理能力低下、因肺结核更换职业均不利于肺结核患者的生命质量。【结论】重点关注共患慢性阻塞性肺疾病或其他肺部疾病人群,给予经济支持,鼓励肺结核患者在完成治疗后也要经常适度锻炼,提高其心肺功能,从而提高生命质量。[Objective]To understand the quality of life in patients with pulmonary tuberculosis within three years after treatment,determine its related factors,and make suggestions for improving the short-term quality of life in patients with pulmonary tuberculosis after treatment.[Methods]A telephone survey was used to investigate registered tuberculosis patients in Shanghai in 2018 using the short form 12(SF-12)and the chronic obstructive pulmonary disease(COPD)assessment test questionnaire(CAT).[Results]A total of 975 patients with pulmonary tuberculosis who had completed the treatment were included in the study. The total physiological score was determined to be 49.18±10.25,and the total psychological score was 50.27±8.03(t=5.62,P<0.000 1). The average CAT score was 13.31±6.08. Multivariate linear regression analysis showed that quality of life was positively associated with high educational level,high monthly family income,and frequent physical exercise,whereas negatively associated with comorbidities,low self-care ability,and changing jobs.[Conclusion]We should pay more attention to the patients with pulmonary tuberculosis coexistent with COPD and other lung diseases. Measures should be implemented for the improvement in the quality of life,including providing financial support,encouraging regular exercise,and improving lung function.

关 键 词：肺结核 生命质量 影响因素 健康调查量表12 慢性阻塞性肺疾病评估测试评分 

分 类 号：R183.3[医药卫生—流行病学]